营养风险筛查(NRS)指导下的营养支持对腹部外科患者临床结局的影响分析  

Analysis of the Effect of Nutritional Support under the Guidance of Nutritional Risk Screening(NRS) on Clinical Outcomes in Patients Undergoing Abdominal Surgery

作　　者：洪东煌[1] 杨火保[1] 沈阳辉[1] 刘进生[2] HONG Dong-huang;YANG Huo-bao;SHEN Yang-hui;LIU Jin-sheng(Department of Critical Care Medicine,Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China;Department of Gastrointestinal Surgery,Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省立医院重症医学二科,福建福州350001 [2]福建省立医院胃肠外科,福建福州350001

出　　处：《中外医疗》2019年第36期4-6,共3页China & Foreign Medical Treatment

基　　金：福建省重症医学中心建设项目(006009190102)

摘　　要：目的研究营养风险筛查(NRS)指导下的营养支持对腹部外科患者临床结局的影响,以不断提高临床治疗效果。方法随机将方便选取2016年1月—2018年12月该院收治的156例腹部外科患者分为实验组(78例,应用营养风险筛查联合营养支持)、对照组(78例,应用营养风险筛查联合常规治疗)。对比两组患者入院治疗前后sALB指标、PA指标、临床结局。结果入院治疗前,实验组sALB指标为(36.58±5.46)g/L、PA指标为(0.25±0.04)g/L,对照组sALB指标为(36.57±5.47)g/L、PA指标为(0.24±0.05)g/L(t=0.011、1.379,P=0.991、0.170>0.05);入院治疗后,实验组sALB指标为(33.65±6.47)g/L、PA指标为(0.18±0.01)g/L,对照组sALB指标为(28.08±5.13)g/L、PA指标为(0.11±0.04)g/L,前者各项指标均优于后者,组间对比差异有统计学意义(t=5.958、14.994,P=0.000、0.000<0.05);实验组发生切口感染几率为2.56%(2/78),对照组发生切口感染几率为11.54%(9/78),前者比后者低,差异有统计学意义(χ^2=4.161,P=0.041<0.05)。结论基于营养风险筛查(NRS)的指导加行营养支持,能够使患者住院治疗时间缩短,改善临床结局,使患者临床症状得以缓解,值得全面推广。Objective To study the effect of nutritional support on the clinical outcome of abdominal surgery patients under the guidance of nutritional risk screening(NRS),so as to continuously improve the clinical treatment effect.Methods From January 2016 to December 2018 convenient election,156 patients with abdominal surgery in the hospital were randomly divided into experimental group(78 cases,nutritional risk screening combined with nutritional support)and control group(78 cases,combined with nutritional risk screening conventional treatment).The sALB index,PA index and clinical outcome were compared between the two groups before and after hospitalization.Results Before admission,the sALB index of the experimental group was(36.58±5.46)g/L,the PA index was(0.25±0.04)g/L,the sALB index of the control group was(36.57±5.47)g/L,and the PA index was(0.24±0.05)g/L(t=0.011,1.379,P=0.991,0.170>0.05).After admission,the sALB index of the experimental group was(33.65±6.47)g/L,PA index was(0.18±0.01)g/L,control group sALB index was(28.08±5.13)g/L,PA index was(0.11±0.04)g/L,the former indicators were better than the latter case,respectively.The difference between the groups was statistically significant(t=5.958,14.994,P=0.000,0.000<0.05).The incidence of incision infection in the experimental group was 2.56%(2/78),and the control group had an incision infection rate of 11.54%(9/78),the former was lower than the latter,and the difference was statistically significant(χ^2=4.161,P=0.041<0.05).Conclusion Nursing support based on nutritional risk screening(NRS)can shorten the length of hospitalization,improve clinical outcomes,and alleviate clinical symptoms.It is worthy of comprehensive promotion.

关 键 词：营养风险筛查 营养支持 腹部外科 临床结局 影响 

分 类 号：R656[医药卫生—外科学]